Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY MATTHEW THOMAS MS (IT DIRECTOR)
(704) 644-4351
Entity
Organization
Contact information
Practice address
6750 ST. PETERS LANE, SUITE 200, SUITE 200, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-1126
NC DHHS MENTAL HEALTH LICENSE
NC
Enumeration date
01/31/2011
Last updated
01/03/2019
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